She says that she started noticing 'body image stuff' while dealing with kidney issues and high blood pressure related to her lupus

Selena also says the public discussion of her weight 'messed me up for a bit'

Selena Gomez just opened up about her struggles with lupus, revealing that the chronic illness and kidney issues have caused her weight to fluctuate onRaquelle Stevens' video podcast, Giving Back Generation.

The 27-year-old pop star explained that she's finally at peace with the way her body fluctuates, but the online discussion of her weight 'messed me up for a bit.'

The 'Lose You to Love Me' singer revealed her lupus diagnosis in October 2015 and received a kidney transplant in September 2017. 'I have lupus and deal with kidney issues and high blood pressure, so I deal with a lot of health issues, and for me that’s when I really started noticing more of the body image stuff,' Selena explained on the podcast.

'It’s the medication I have to take for the rest of my life—it depends on even the month, to be honest,' she said. 'So for me, I really noticed when people started attacking me for that. And in reality, that’s just my truth. I fluctuate. It depends what’s happening in my life.'

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Unexplained weight loss is one of the signs and symptoms of lupus. Others include a butterfly-shaped rash on one's face, joint pain, shortness of breath, kidney problems, seizures, anaemia, fatigue, and fever. Though symptoms don't occur all the time, it's a lifelong disease.

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'There is extended remission where, for all intents and purposes, we might think we’ve cured the disease in some individuals, but there is no cure,' Dr. Jill Buyon, the director of the Division of Rheumatology and Lupus Center at NYU Langone Health, previously told Women's Health.

The most common treatment, she said, is Plaquenil, or hydroxychloroquine, 'an anti-malarial that has anti-inflammatory properties and is extremely well tolerated by most people.'

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